Provider Demographics
NPI:1730315276
Name:IN HOME, LLC
Entity Type:Organization
Organization Name:IN HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-795-6887
Mailing Address - Street 1:520 FOLLY RD
Mailing Address - Street 2:SUITE-P, # 187
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-3019
Mailing Address - Country:US
Mailing Address - Phone:843-795-6887
Mailing Address - Fax:
Practice Address - Street 1:1140 CLEARSPRING DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-9670
Practice Address - Country:US
Practice Address - Phone:843-795-6887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care